Author Archives: farah

Deformed orca whale, anyone?

There were many more members present this week than there were at my first visit, so I was lucky enough to have the pleasure of meeting new faces while doing art. Together we each selected a rock, and then painted them to demonstrate our inner Vincent van Goghs. I soon learned however that many of the member’s artistic capabilities far exceeded my own, as my green-ish/blue-ish/brown-ish coloured rock became the butt of several jokes – it was called everything from a “lump of moss” to a “deformed orca whale” to a “rock that didn’t even look like anyone had painted it.” My artistic inabilities aside, I had a blast joking, chatting and assisting the members to create their own masterpieces, and was fortunate enough to have some members share some really astonishing and personal stories with me.

Rock that closely resembles my art piece (unfortunately).
(image via geograph)

A story shared by one member in particular really touched me, as she began to share some of the frustrating experiences she has had with her physician. She described to me what her life was like with her two children before she had a stroke which has affected her right hemisphere, and how it has changed since. The truly heartbreaking part of her story was that her physician blatantly told her that there is no hope for her getting better, that she will be forever confined to a wheelchair, and that there is really nothing much that can be done to increase her mobility. Despite this incredibly discouraging news, she is determined to prove her doctor wrong, as she does tai chi, swimming, and yoga in modified forms every week. Needless to say, I found her strength and determination to be beyond admirable and truly inspiring. As she was sharing her anger and frustrations with me, another member joined in to say that she was told the exact same thing when she was in an accident at age of 15, yet she defied all odds, and even went back to school a year later despite her doctor’s recommendations. She went on to become the Class Valedictorian and although she was also told she would never be able to walk again, there she was at Headway walking independently, standing by my side helping to clear up paint brushes.

This brought me back to the topic of motivation that we have discussed in class, and how a patient’s outlook and emotional state can make a significant difference with their recovery from a TBI. I did some further research and found that interestingly, some studies suggests that hope is emotion-focused and potentially unrealistic leading to poor outcomes, whereas other studies argue that hope is a positive emotional state that is associated with better outcomes in the early stages of recovery, but ceases to be helpful once patients realize the actual consequences of their injury (Shotton, Simpson, & Smith, 2007). This balance between optimism and realism is something that was also touched upon today by Mr. Daniel Corrin, and is something that in hindsight makes sense to me, given that we have learned that there is no single coping method that works best for every patient, and that the context surrounding the individual’s life must also be considered.

Link

Breakfast and Bingo at Headway – Farah Kassam

When I first arrived at the Headway Centre, I quite was surprised to walk in and find a relatively small area, which had a very home-like, casual and welcoming feel. Excited for my shift, I was a little early which worked out great because I got the chance to meet with the four members who were there that day, just as they were finishing up breakfast. I immediately noticed that similar to the member who had spoken to our class in the beginning of semester, there were no signs of physical injury; everyone was chatting and eating their pancakes and were extremely friendly when I joined in. However once I started talking to the members, I began to notice that there was a wide range of cognitive and language functional abilities among them.

Two members in particular appeared to be very high functioning, one shared with me that he was going to work later, and I was pleasantly surprised at our initial conversation at the breakfast table where we chatted about topics ranging from movies, to the Olympics, to places in the world we would like to visit. During breakfast I noticed that one member was rather quiet and hadn’t engaged in the conversation, so I decided to sit with him before we started Bingo. He seemed to have impairments to his speech production, however this didn’t stop us from having a great time as he taught me how to play a game on his iPad by pointing at the icons, and later shared his ‘secret handshake’. Following breakfast, I set up and led the Bingo game on my own which I thoroughly enjoyed because it gave me the opportunity to learn to adapt based on the range of functional levels. I noticed that the quieter member was having difficulty processing the numbers and placing chips on his card (perhaps indicating impairment to language comprehension as well), which taught me the importance of being aware of who might need extra assistance while also being able keeping the game engaging and fun for everyone.

In class we discussed the possibility that patients with TBI might display impulsivity and impaired social awareness. In lieu of this, I was actually quite surprised at how socially appropriate and patient the members were, so when I got home, I did some research and learned that distractibility and impaired decision-making after a TBI is largely associated with frontal lobe damage, specifically related to a portion of the prefrontal cortex called the orbital frontal cortex (Rolls et. al, 1994).

Orbitofrontal Cortex, part of the Prefrontal Cortex
(via Wikipedia)

Though it is hard to get a full sense of the impact of their injuries in just a few hours, I am curious whether the members do experience these symptoms, or whether the difference may be due to the nature and location of their injuries. In any case, I was pleasantly surprised by the jovial relationships the members seemed to have, joking around with each other and the volunteers, and I am excited for my next shift!